Williams-Sebby Veterinary Clinic New Appointment Form

Williams-Sebby Veterinary Clinic & Pet Resort (WSVC) - Boarding Requirements, Terms & Conditions

All pets must be current on all required vaccinations listed on the bottom of this form.

If your pet(s) have not been examined at WSVC before boarding, we are REQUIRED to do an exam to establish the client-patient relationship.

If your pet(s) have loose stools, or vomiting during their stay with us, we will examine your pet and give necessary medications. By signing below you are consenting to this condition and any applicable charges for the exam and medications.

All pets must be free of external and internal parasites (i.e.: ticks, fleas, etc.) or they will be treated at the owner’s expense. By signing below you are consenting to this condition and any applicable charges for the exam and medications.

WSVC has my permission to do whatever is necessary should an emergency arise with my pet. By signing below you are consenting to this condition and any applicable charges for the exam and medications.

If your pet is difficult to handle or aggressive while boarding at our facility you may acquire an additional $10 handling fee for each day of their stay.
Beds, towels, toys, etc. must have the last name on them. This allows us to identify them if they need to be washed or cleaned.

If your pet(s) personal items are not labeled, we cannot guarantee their return to you.

Your pet(s) may be picked up between 7:30 am and 5:45 pm Monday - Friday and before 11:45 am on Saturday. NO EXCEPTIONS!

Sunday pick-up by request with payment details to be left on file for our invoicing team to complete on our end.

If you pick up after 10:00 a.m. on any business day, you will be charged another day of boarding. The only exception is if your pet is being groomed or bathed.

If your pet(s) experience a medical emergency, shows a sign of illness, or has any pre-boarding medical needs that require a doctor’s attention while at our facility you have agreed to treatment of your pet(s) by our doctors and technicians. By signing below, you consent to this condition and any applicable charges for the exam and medications.

WSVC LIST OF REQUIRED VACCINATIONS TO BOARD:

Canine: Rabies, DHLP-PV, Influenza, Heartworm Prevenative & Pest Free.

***CANINES ARE REQUIRED TO BE CURRENT ON BORDETELLA EVERY 6 MONTHS***

Feline: Rabies, FVR-CP

Current ClientNew Client

Your Name*

First NameLast Name

First Pets Name*

Second Pets Name*

Please List Pets Details Here

Your E-mail*

Cell Number*

Area CodePhone Number

YESNO

EMERGENCY Number*

Area CodePhone Number

Emergency Contact Information *

Emergency Contact Person

BOARDING START DATE*

Date

BOARDING END DATE*

Date

YesNo

If your Pets are to be bathed on the day of pick up, please indicate what time will you be picking up your pet?

:HourMinutesAM/PM Option

***PLEASE NOTE THAT IF YOU ARE PICKING UP YOUR PET AFTER 10AM YOU CAN AVOID BEING CHARGED FOR AN EXTRA DAY OF BOARDING BY SCHEDULING YOUR PET FOR A BATH. PLUS YOUR BABY GETS EXTRA PAMPERING AT THE END OF THEIR STAY AT WSVC ***

We will bathe the pets the same day as pick up.

Mon - Fri 9:00 am - 5:30 pm

Sat - 9:00 am - 12:00 pm

***Please advise what time works best for pick up! If you do not want your pet bathed please enter "NO BATH"***

What time are you picking up your pet. Please note M-F 9am - 5:30pm

What time are you picking up your pet?*

:HourMinutesAM/PM Option

Until

until :HourMinutesAM/PM Option

Please list your pets belongings (toys, carrier, etc.):*

List all pets belongings please. If you are not bringing pets personal items please enter "NONE".

YESNONO BUT I GIVE PERMISSION TO GET MY PET ALL NEEDED VACCINATIONSYES, BUT ANOTHER VETERINARIAN ADMINISTERED VACCINE AND I WILL EMAIL PROOF (MEDICAL RECORDS OR VACCINATION RECORDS FROM MY OTHER VETERINARIAN) TO SEBBYVETCLINIC78666@GMAIL.COMI DON'T KNOW CAN YOU HAVE SOMEONE HELP ME?

If your pet has been vaccinated or seen at another veterinary clinic, please provide the name of the clinic and contact information so we can obtain the records!

YESNOI DON'T KNOWPLEASE HELP ME PICK THE BEST PREVENTATIVE

BravectoFrontlineNextgaurdOther

Please list any current medications and dosage instructions if your pet is currently prescribed any medications:

Medications Name & Dose Info

Known Allergies or dietary restrictions?

Allergies or Diet Restrictions

Any other comments, special notes or instructions and/or questions?

Please leave notes or specific requests and instructions here!

Pet Resort & Grooming Add On Services (Optional)

WOULD YOU LIKE EXTRA WALKS ($9.00 EACH)?*

PLEASE ANSWER WITH YES OR NO

IF YOU ANSWERED YES TO EXTRA WALKS, HOW OFTEN?

EXAMPLES: EVERY DAY, TWICE DAILY, EVERY OTHER DAY, ETC.

WOULD YOU LIKE EXTRA PLAY TIME (7-10 MINUTE SESSIONS @ $9.00)

PLEASE ANSWER WITH YES OR NO

IF YOU ANSWERED YES TO EXTRA PLAYTIME, HOW OFTEN?

EXAMPLES: ONCE DAILY, TWICE DAILY, EVERY OTHER DAY, ETC.

WOULD YOU LIKE TO ADD SWIM TIME FOR YOUR PET IN OUR PET RESORT POOL (10 MINS @$12)?*

PLEASE ANSWER WITH YES OR NO

IF YOU ANSWERED YES TO ADD SWIM TIME HOW OFTEN?

EXAMPLES: ONCE DAILY, TWICE DAILY, EVERY OTHER DAY, ETC.

WOULD YOU LIKE US TO GIVE YOUR PETS PUPSCILES (CANINES ONLY & SEASONALLY AVAILABLE @ 1 PER DAY $6)?*

PLEASE ANSWER YES OR NO. IF YOU ARE BOARDING A CAT OR EXOTIC PLEASE SIMPLY ANSWER NO

IF YOU ANSWERED YES TO PUPSICLES HOW OFTEN?

ONCE DAILY, ONCE EVERY OTHER DAY, ONCE WEEKLY, ETC.

WOULD YOU LIKE US TO GIVE YOUR PET()S A RENT-A-KONG (CANINES ONLY @ $6 PER DAY (2 TIMES FILLED PER DAY)*

PLEASE ANSWER YES OR NO. IF YOU ARE BOARDING A CAT OR EXOTIC PLEASE SIMPLY ANSWER NO

IF YOU ANSWERED YES TO RENT-A-KONG HOW OFTEN?

DAILY, ONCE EVERY OTHER DAY, ONCE WEEKLY, ETC.

YesNo

Please note in an emergency by signing below you are authorizing us to perform the needed services and any fees for the medications or services provided in the event you are not reachable via phone call.

Please verify that you are human*

Signature*

Pet Resort Boarding Request